Millikin University
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Campus Visit Program Reservation

Fill out the form below to schedule your campus visit.

Pick a Date
Personal Information
First Name *
Last Name *
Preferred Name
Address*
City*
State (IL)*
Zip*
Phone (217-555-1212)
Birthdate (11/08/1986)
Email*
Educational Background
High School
Graduation Year
ACT/SAT Score
Colleges Attended(if any)
Term to Enroll at Millikin
Applying as
Academic Interests
What degree are you seeking?
If Undergraduate, select a major
Select an additional major(optional)
Instrument/Vocal Range
Sports
My present interest in Millikin is
How did you hear about this visit day? (Email,Web,Newspaper,High School,Friend,Relative,etc.)
Comments/Questions
 
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